Organization
INDUSTRY LOCS HAIR EXTENSIONS
Active
Other names
Miracle Mane Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA COLLINS MCGLUEN (OWNER)
(901) 530-3433
Entity
Organization
Contact information
Practice address
230 S PERRY RD # 1069, PLAINFIELD, IN 46168-2735
(901) 530-3433
Mailing address
230 S PERRY RD # 1069, PLAINFIELD, IN 46168-2735
(901) 530-3433
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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